Avera Home Medical Equipment, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

AVERA HOME MEDICAL EQUIPMENT, LLC

Practice address

1216 Ryans Rd Ste 4
Worthington, MN 56187-1780

Phone

(507) 372-6673

Fax

(507) 372-6674

NPI assigned

Sep 22, 2021

Last updated

Sep 22, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

AVERA HOME MEDICAL EQUIPMENT LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sandra Dieleman

Title

President/Ceo

Phone

(605) 322-3984

Specialties & licenses 1

Addresses

Part of

Avera Home Medical Equipment LLC

Member of 6

Organizations this organization is a member of, according to the National Provider Directory.

• Avera Home Medical Equipment LLC

  • Durable Medical Equipment & Medical Supplies
  • Marshall, MN
  • NPI 1790793933

  Member Of

  NPD member
• Avera McKennan

  dba Avera Medical Group Worthington

  • Family Medicine Physician
  • Worthington, MN
  • NPI 1306939806

  Member Of

  NPD member
• Avera at Home

  dba Avera @ Home

  • Home Health Agency
  • Estherville, IA
  • NPI 1720001936

  Member Of

  NPD member
• Avera Home Medical Equipment of Sioux Center

  • Durable Medical Equipment & Medical Supplies
  • Sioux Center, IA
  • NPI 1801962857

  Member Of

  NPD member
• Avera Home Medical Equipment, LLC

  • Durable Medical Equipment & Medical Supplies
  • Estherville, IA
  • NPI 1881760866

  Member Of

  NPD member
• Floyd Valley Home Medical Equipment

  dba Avera Home Medical Equipment

  • Durable Medical Equipment & Medical Supplies
  • Le Mars, IA
  • NPI 1710053186

  Member Of

  NPD member

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Avera Home Medical Equipment LLC

  • Durable Medical Equipment & Medical Supplies
  • Marshall, MN
  • NPI 1790793933
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632268800000",
    "number": "1205507902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5045",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175045",
            "telephone_number": "605-322-1872",
            "fax_number": "605-322-1892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 RYANS RD STE 4",
            "city": "WORTHINGTON",
            "state": "MN",
            "postal_code": "561871780",
            "telephone_number": "507-372-6673",
            "fax_number": "507-372-6674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVERA HOME MEDICAL EQUIPMENT, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AVERA HOME MEDICAL EQUIPMENT LLC",
        "enumeration_date": "2021-09-22",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A",
        "authorized_official_last_name": "DIELEMAN",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "605-322-3984"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Astrup Drug, Inc (Sterling LTC #32)
• Astrup Drug, Inc. (Sterling LTC #8)
• Atchison Enterprises Incorporated (Crossroads Care Center)
• Atchison Enterprises Incorporated (South Shore Care Center)
• Mary Christine Aukes, RD
• Avera Marshall (Avera Medical Group Optometry Worthington)
• Avera McKennan (Avera Medical Group Fulda)
• Avera McKennan (Avera Medical Group Optometry Worthington)
• Avera McKennan (Avera Medical Group Worthington)
• Avera McKennan (Avera Medical Group Lakefield)

• Durable Medical Equipment & Medical Supplies in Worthington, MN
• Providers in Worthington, MN by specialty
• Durable Medical Equipment & Medical Supplies in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.